Compassionate Hospice Care, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

COMPASSIONATE HOSPICE CARE, LLC

Practice address

11935 Quay Street
Broomfield, CO 80020

Phone

(303) 465-0944

Fax

(303) 465-0899

NPI assigned

Nov 13, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vicki J. Kiesau

Title

Coo

Phone

(303) 465-0944

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Hospice certification: CCN 061569

Legal name

COMPASSIONATE HOSPICE CARE, LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Dec 9, 2010

Last certification

Jun 22, 2022

Ownership / control type

Proprietary - Other

Organization structure

LLCProprietary

Incorporated

Nov 11, 2009 in CO

Enrollment address

11935 Quay St
Broomfield, CO 80020-2816

Listed as

Compassionate Hospice Care LLCCCN 061569

Ownership

For-Profit

Certified

Dec 9, 2010

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Erin A Egan, MD

  • Internal Medicine Physician
  • Evansville, IN
  • NPI 1902992381

  Contracted Managing Employee

  CMS ownership

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Compassionate Home Health Care, LLC

  • Home Health Agency
  • Broomfield, CO
  • NPI 1215928726

  Carlos Antonio Corona Revocable Trust

  CMS ownership

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Rachel Marinch Carpenter, MD

  • Family Medicine Physician
  • Denver, CO
  • NPI 1316386469

  Hospice

  Care Compare affiliation
• Michele Yeeting Lee, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Boulder, CO
  • NPI 1922015973

  Hospice

  Care Compare affiliation
• James Metzger, MD

  • Internal Medicine Physician
  • Golden, CO
  • NPI 1447222716

  Hospice

  Care Compare affiliation
• Danielle Ann Whitacre, M.D.

  • Family Medicine Physician
  • Lakewood, CO
  • NPI 1134316540

  Hospice

  Care Compare affiliation
• Erin A Egan, MD

  • Internal Medicine Physician
  • Evansville, IN
  • NPI 1902992381

  Hospice

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1437486347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11935 QUAY STREET",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "80020",
            "telephone_number": "303-465-0944",
            "fax_number": "303-465-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11935 QUAY STREET",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "80020",
            "telephone_number": "303-465-0944",
            "fax_number": "303-465-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE HOSPICE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-13",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "KIESAU",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "303-465-0944"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Columbine Hand Therapy
• Community Reach Center, Inc
• Community Reach Center, Inc
• Compass Counseling & Consultation PLLC
• Compassionate Home Health Care, LLC
• Compassionate Lotus Counseling PLLC
• Complete Dental Solutions
• Complete Dental Solutions
• Comprehensive Gynecologic Care, P.C.
• Connections Autism Services, LLC

• Community Based Hospice Care Agency in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Community Based Hospice Care Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.